Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ELYSSE LI CCC-SLP
NPI 1679482079
Speech-Language Pathologist in Jacksonville, FL

Active since September 02, 2026
12025 SAN JOSE BLVD # 101, JACKSONVILLE, FL 32223(904) 880-1444 Get Directions Write a Review

NPPES record added: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Elysse Li Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELYSSE LI CCC-SLP (NPI 1679482079) is an individual speech-language pathologist provider in Jacksonville, Florida, licensed in Florida (SA23692) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1679482079
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameELYSSE LICredential: CCC-SLP
Location Address12025 SAN JOSE BLVD # 101Jacksonville, FL 32223-1639
Mailing Address3632 Shiner DrJacksonville, FL 32226-2187 · (630) 621-0972
Sole ProprietorYes
Enumeration DateSeptember 2, 2026
NPPES CertifiedSeptember 2, 2026
NPI 1679482079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in FL · SA23692
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
12025 SAN JOSE BLVD # 101, Jacksonville, FL 32223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elysse Li's NPI number?

The NPI number for Elysse Li is 1679482079. It was assigned to this individual provider in the NPPES registry on September 2, 2026.

Where is Elysse Li located?

Elysse Li practices at 12025 San Jose Blvd # 101, Jacksonville, FL 32223. The listed phone number is (904) 880-1444.

What is Elysse Li's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Elysse Li was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.